How to Coach Yourself and Others Empowering Coaching And Crisis Interventions

This book is in B&W, not color - Print page in Grayscale for Correct view! Risk indicators for life-threatening self-harm  Preparation for self-harm: someone who has taken time to plan, considered the consequences of their actions, said goodbye to people or taken precautions to avoid being discovered by others represents a much higher risk than a person who self-harms without much thinking about it (i.e. self-harm as an ‘impulsive’ act).  Seriousness of the method used to self-harm: violent methods such as hanging, stabbing or throwing oneself into deep water are considered serious and indicate higher risk.  Current mental illness: at least 60% of people who self-harm have some form of mental illness.  Factors that reduce self-control: the use of alcohol or other drugs, or having an impulsive personality, reduce self-control and increase the risk of serious self-harm.  Presence of ongoing ‘real life’ difficulties: marital problems, financial problems, difficulties at work, or other problems in daily life increase the risk of self-harm. Screening Tools 1. Level of Care Utilization System (LOCUS) Purpose: To assess immediate service needs (e.g., for clients in crisis); to plan resource needs over time, as in assessing service requirements for defined populations; to monitor changes in status or placement at different points in time. Clinical utility: LOCUS is divided into three sections. The first defines six evaluation parameters or dimensions: (1) Risk of Harm, (2) Functional Status, (3) Medical, Addictive, and Psychiatric Co-Morbidity, (4) Recovery Environment, (5) Treatment and Recovery History, and (6) Engagement. A five-point scale is constructed for each dimension, and the criteria for assigning a given rating or score in that dimension are elaborated. In dimension IV, two subscales are defined, whereas all other dimensions contain only one scale. Groups with whom this instrument has been used: Adults Administration time: 15 to 30 minutes

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